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SHOCK
-RAKSHA YADAV
B.Sc Nursing 2nd Year
AIIMS, JODHPUR
Cardiogenic shock
Definition
Predisposing/Risk factors
Etiological factors
Pathophysiology
Clinical Manifestations
Complications
Diagnostic tests
Medical Management
-Pharmacological Management
-Surgical Management
Nursing Management
Prevention of cardiogenic shock
Definition
What is Cardiogenic shock?
Cardiogenic shock is defined as heart’s
inability to contract and pump blood
efficiently due to inadequate supply of O2 &
nutrients to the heart.
Most often caused by severe heart attack.
• Acidosis
• Dysrhythmias
• Trauma
• Structural abnormalities
• Valvular abnormality
• Ventricular septal rupture
• Tension pneumothorax
Pathophysiology
↓ Cardiac
Contractibility
↓ Stroke
Volume &
C.O
↓Systemic ↓ Coronary
Pulmonary
Tissue Artery
Congestion
Perfusion Perfusion
Clinical Manifestations
Angina Pectoris, squeezing pain in center of chest.
Dysrhythmias
Diminished heart sounds
Acute drop in blood pressure > 30 mm Hg
Decreased cardiac output
Tachypneas, shortness of breath
Weak, thready pulse
Sweating, cold hand & feet
Urine output < 30 mL/hr
Cool, pale, moist skin
Complications
Brain damage
Kidney damage
Liver damage
Multiple organ failure
Coma
Death
How is Cardiogenic shock
diagnosed?
Blood pressure test
Electrocardiogram
Echocardiography
Chest X-ray
Cardiac enzyme test
Coronary angiography
Pulmonary artery catheterization
Blood tests:
- ABG, LFT, RFT
Medical Management
Correction of underlying cause:
→ Correction of the underlying cause is very
important as it may lead to:
- Fail of the compensatory mechanisms
Quit smoking